The PCC 7.2 release includes new features that may need extra planning, training, or configuration. Read below to learn more, and share relevant details with your physicians and staff.
Read the PCC EHR 7.2 Release Documentation for complete details on these features.
Contact PCC Support at 1-800-722-1082 for information about these or any features in PCC 7.2.
- 1 Define User Permissions for New and Updated Features in PCC 7.2
- 2 Assign Care Centers to Users
- 3 Review PCP Configuration and Workflow for the Patient Information Button
- 4 Prepare For Down Syndrome Growth Charts and Vitals Percentiles
- 5 Update Your Auto-Notes
- 6 Review Vaccine Lots and Add Funding Sources, Adjust Practice Workflow
- 7 Prepare for New Documents Features
- 8 Review Diagnosis and Billing Configuration for New SNOMED-CT Favorites
- 9 Review Migration of Your Chart Note Diagnosis Defaults
Define User Permissions for New and Updated Features in PCC 7.2
After your PCC 7.2 update, you should review and assign permissions to user roles for several new and updated permissions.
To make changes, open the User Administration tool and edit a role on the Roles tab.
The new or updated permissions in PCC 7.2, which you can allow or disallow for any of your user roles, are:
PCC EHR Audit Log: The PCC EHR Audit Log displays all activity in PCC EHR based on a date, user, or patient. You should grant the PCC EHR Audit Log permission to any role that needs to review who accessed charts or who made changes in a chart.
Patient Portal Administration: The Patient Portal Administration permission controls whether a user can log into the Patient Portal Administration tool, either using a custom website or by using the Patient Portal Manager in PCC EHR. You should grant this ability to any user role that needs to create MyKidsChart accounts for families, change passwords, or in other ways administer portal accounts.
Patient Portal Configuration: The Patient Portal Configuration permission controls whether a user can adjust practice-wide settings for MyKidsChart, found in the second tab of the Patient Portal Manager tool. You should grant this permission to roles that will be responsible for whether or not the patient portal supports messaging and what content will appear in the patient portal.
Assign Care Centers to Users
Is your office part of a multi-location practice that uses PCC’s Care Center features? After your 7.2 update, an office manager or other administrative user at each care center location should review and set the care center for each PCC EHR user.
Many features in PCC EHR, including order assignment, provider lists, and MyKidsChart administration will refer to a user’s care center.
Use the User Administration tool to edit a user’s Care Center.
For best results, make this assignment soon after your PCC 7.2 update. The Care Center field controls who each PCC EHR user will see in various pull-down menus, and controls which MyKidsChart location they will access when using the Administration tab of the Patient Portal Management tool.
If a user floats between multiple locations, you can leave their care center blank. A user with no care center assigned will see and be visible to all other users, regardless of care center.
If your practice used a name field to indicate a user’s care center, you can now remove those adjustments.
Have You Linked Clinicians to Partner Providers?: Some PCC features, including Care Center features, rely on having PCC EHR users linked to the providers in the Partner practice management system. You can see whether or not your clinicians are linked up in the new Provider column in the User Administration tool.
If you believe a provider is not correctly assigned, open the Providers table in Partner and enter the appropriate PCC EHR user.
Review PCP Configuration and Workflow for the Patient Information Button
The new Patient Information button displays a patient’s most recent weight, percentile, and their primary care physician. You may want to review the button with your clinicians so they can take advantage of the new features when importing documents for a physician’s attention or when prescribing medications, for example.
The primary care physician will only display if your practice uses the PCP feature. You can turn the PCP field on or off for your practice in the Account and Patient Editing section of the Configuration Editor (
ced) in Partner.
After making a change, the PCC system needs 24 hours to adjust your database to display the new field.
Prepare For Down Syndrome Growth Charts and Vitals Percentiles
Down syndrome growth charts and vitals percentiles will appear for all patients with a Down syndrome diagnosis on their Problem List. The vitals are marked with an “AAP DS” indicator, but your staff and your families that use MyKidsChart may need help understanding that they are now seeing Down syndrome percentiles.
For configuration, your practice can hide, show, and arrange the complete list of available growth charts and also set which diagnoses cause the Down syndrome charts to appear.
First, open the Growth Chart Configuration tool in the Tools menu.
On the “Growth Chart” tab of the Growth Chart configuration tool, click on a checkbox to hide or show a growth chart. You can also move or rearrange the growth charts so they will appear in a different order on the pull-down menu in the patient’s chart.
On the “Down Syndrome Diagnoses” tab of the Growth Chart configuration tool, you can review and edit the list of SNOMED diagnoses that determine whether a patient’s chart will display the Down syndrome growth charts. Click the plus sign (+) to add additional diagnoses.
ICD-9 758.0: The ICD-9 code set is no longer used in PCC EHR, but many patient Problem Lists may still only list the old 758.0 Down syndrome diagnosis code and not a newer SNOMED description. PCC added a checkbox to the Growth Chart configuration so that patients with the old diagnosis will also default to the Down syndrome growth charts and vitals percentiles.
Deactivate Down Syndrome Growth Charts and Vitals: Your practice can turn off all Down syndrome growth charts and the Down syndrome vitals percentiles by removing and deselecting all diagnoses from the Down Syndrome Diagnoses tab.
Update Your Auto-Notes
PCC 7.2 improves Auto-Notes features, making them more responsive and powerful. Your practice may want to take this opportunity to review and update your Auto-Notes configuration.
For example, before the PCC 7.2 update, clinicians may have found it useful to only configure a standard “Normal” Auto-Note, since it was less likely they would initially click “Make All Abnormal”. Your clinicians can use this update as an opportunity to review their Auto-Notes and enter alternate selection notes for some components, for some chart note protocols. To learn more, read the Auto-Notes help article.
Review Vaccine Lots and Add Funding Sources, Adjust Practice Workflow
Use the Immunization Configuration tool to update lots with a funding source, and adjust your practice workflow so that you enter a funding source whenever you add new lots to PCC EHR.
To enter a funding source for an immunization lot, open the Immunization Configuration tool in the Tools menu.
Your practice may previously have used a lot number suffix or naming convention to indicate that a lot was VFC. You can now assign VFC lots the “Federal Funds” funding source instead, which will allow clinicians to quickly select the correct lot when they order or administer immunizations.
Prepare for New Documents Features
You can now give a document a title and share a document with families through MyKidsChart.
Your practice may want to develop a policy for which documents can be shared with a family, and by whom. You may also want to review how you will title documents so they will be easier to find later.
Turn Off Documents in MyKidsChart: If your practice does not want to share documents through the patient portal, you can turn this feature off in the Patient Portal Manager in the Tools menu.
Review Diagnosis and Billing Configuration for New SNOMED-CT Favorites
The PCC 7.2 update adds hundreds of new SNOMED descriptions to your PCC EHR diagnosis tools. As part of the update, PCC added 795 new terms to your practice’s Favorites list. (The diagnosis Favorites list is the list of diagnoses that are searched whenever you begin typing in a diagnosis field.)
After your PCC 7.2 update, you may wish to review your Favorites and other diagnosis settings for new SNOMED descriptions. Use the Diagnosis Configuration tool to review lists and make changes.
Next, your practice may also wish to review billing configuration for new SNOMED diagnosis descriptions. Use the Billing Configuration tool to review what ICD-10 diagnoses are mapped to each SNOMED-CT description.
New Favorites That Do Not Have Assisted Mapping: Of the 795 new SNOMED diagnosis descriptions added to the diagnosis Favorites list, 347 of them do not have “assisted mapping” to an ICD-10 billing code. That means that if a physician uses one of these diagnoses on a chart, the biller will need to select an appropriate ICD-10 billing code later. You can proactively assign ICD-10 codes to these new SNOMED descriptions, and review the mapping for any diagnosis, in the Billing Configuration tool. A complete list of SNOMED diagnoses that were added to the Favorites list by the 7.2 update that do not have a default ICD-10 mapping appears below.
|Abnormal chest sounds||Abscess of calf||Abscess of skin of abdomen||Abscess of skin of breast||Abscess of thumb|
|Acquired bilateral pes planus||Acquired dysphasia||Acquired hammer toe of left foot||Acquired hammer toe of right foot||Acquired hammer toes of bilateral feet|
|Acute adenoiditis||Acute aspiration pneumonia||Acute bronchitis caused by coxsackievirus||Acute bronchospasm||Acute exacerbation of asthma co-occurrent with allergic rhinitis|
|Acute exacerbation of chronic obstructive bronchitis||Acute exacerbation of mild persistent asthma||Acute exacerbation of moderate persistent asthma||Acute hypoxemic respiratory failure||Acute muscle stiffness of neck|
|Acute severe exacerbation of asthma co-occurrent with allergic rhinitis||Acute severe exacerbation of mild persistent allergic asthma||Acute severe exacerbation of mild persistent allergic asthma co-occurrent with allergic rhinitis||Acute severe exacerbation of moderate persistent allergic asthma||Acute severe exacerbation of moderate persistent asthma co-occurrent with allergic rhinitis|
|Acute severe exacerbation of severe persistent allergic asthma||Acute severe exacerbation of severe persistent asthma co-occurrent with allergic rhinitis||Acute tear of lateral meniscus of left knee||Acute tear of lateral meniscus of right knee||Acute tear of medial meniscus of left knee|
|Acute tear of medial meniscus of right knee||Acute tear of meniscus of left knee||Acute tear of meniscus of right knee||Acute ulcer of skin||ALG12-congenital disorder of glycosylation|
|Allergic contact dermatitis caused by chemical||Allergic contact dermatitis caused by pollen||Allergic contact dermatitis due to metal||Allergic rhinitis caused by insects||Allergic rhinitis caused by mold|
|Allergic rhinitis due to animal hair and dander||Allergy to orris root||Aphasia due to brain damage||Apparent life -threatening event in infant||Asthma-chronic obstructive pulmonary disease overlap syndrome|
|Baby premature 28-32 weeks||Baby premature 32-36 weeks||Barretts esophagus with dysplasia||Barretts esophagus with high grade dysplasia||Barretts esophagus with low grade dysplasia|
|Bells palsy of left side of face||Bells palsy of right side of face||Bilateral achilles tendonitis||Bilateral ankle joint pain||Bilateral blepharitis|
|Bilateral bursitis of shoulders||Bilateral conjunctivitis||Bilateral cyst of breasts||Bilateral elbow joint pain||Bilateral heel pain|
|Bilateral hip joint pain||Bilateral knee pain||Bilateral plantar fasciitis||Bilateral plantar wart||Bilateral sacroiliac joint pain|
|Bilateral shoulder joint pain||Bilateral stiffness of knee joints||Bilateral temporomandibular joint disorder||Bilateral tendonitis of patellar tendon||Bilateral tendonitis of shoulders|
|Bilateral tendonitis of wrists||Bilateral thumb pain||Bilateral trigger fingers||Bilateral trigger thumbs||Bilateral trochanteric bursitis|
|Bilateral wrist pain||Birth weight less than 500g||Blast injury to eye region||Blepharitis of upper and lower eyelids of bilateral eyes||Blood-tinged feces|
|Blue-colored urine||Bronchiolitis caused by influenza virus||Bronchitis due to chemical||Bronchopneumonia due to bacteria||Bronchopneumonia due to virus|
|Brown-colored urine||Bursitis of elbow||Bursitis of left hip||Bursitis of lower limb||Bursitis of olecranon of left elbow|
|Bursitis of olecranon of right elbow||Bursitis of right hip||Bursitis of upper limb||Cared for by female head of household||Cared for by male head of household|
|Carer understands care plan||Celluitis of right hand||Cellulitis of left foot||Cellulitis of nasal mucous membrane||Cellulitis of right foot|
|Chronic obstructive asthma co-occurrent with acute exacerbation of asthma||Chronic obstructive lung disease co-occurrent with acute bronchitis||Chronic otitis media of left ear||Chronic otitis media of right ear||Chronic pharyngolaryngitis|
|Chronic pneumonia||Cleft of hard palate and cleft lip||Cleft of soft palate and bilateral cleft lip||Cleft of soft palate and cleft lip||Cleft palate and bilateral cleft lip|
|Complete fecal incontinence||Compliance with prescribed diet||Congenital hammer toe of left foot||Congenital hammer toe of right foot||Conjunctivitis of left eye|
|Conjunctivitis of right eye||Consent given for communication by email||Consent given for communication by short message service text messaging||Consent given for telemedicine consultation||Contact dermatitis caused by adhesive bandage|
|Contact dermatitis caused by chemical||Contusion of left elbow||Contusion of left foot||Contusion of left hand||Contusion of left shoulder|
|Contusion of right elbow||Contusion of right foot||Contusion of right hand||Contusion of right knee||Contusion of right shoulder|
|Creamy stool||Dactylitis of finger||Dactylitis of toe||Delivery by cesarean section for breech presentation||Delivery by cesarean section for flexed breech presentation|
|Delivery by cesarean section for footling breech presentation||Did not attend asthma review||Emotionally stable||Eyeball wound due to penetrating foreign body||Facial fracture due to fall|
|Facial fracture due to motor vehicle accident||Father has sole parental responsibility||Feeding intention – breast and formula||Feeding intention – formula||Hearing loss in left ear|
|Hearing loss in right ear||High frequency sensorineural hearing loss in left ear||High frequency sensorineural hearing loss in right ear||High risk immunization||History obtained from person with parental responsibility|
|Identifies as female gender||Identifies as male gender||Identifies as non-conforming gender||Idiopathic scoliosis of lumbar spine||Idiopathic scoliosis of thoracic spine|
|Impacted cerumen in left ear||Impacted cerumen in right ear||Indeterminate sex||Infection of toenail||Injury of right kneee|
|Instability of left shoulder joint||Instability of right shoulder joint||Intentional drug overdose by injectable substance||Intentional drug overdose by tablet||Intermittent asthma co-occurrent with allergic rhinitis|
|Intermittent asthma uncontrolled||Intersex||Intractable abdominal pain||Intractable low back pain||Irritant contact dermatitis caused by chemical|
|Irritant contact dermatitis caused by detergent||Irritant contact dermatitis caused by metal||Irritant contact dermatitis caused by rubber||Joint pain in left hand||Joint pain in right hand|
|Laceration of left hand||Laceration of mouth||Laceration of nasal septum with complication||Laceration of right hand||Late effect of injury to peripheral blood vessel|
|Lateral epicondylitis of bilateral humerus||Lateral epicondylitis of left humerus||Left achilles tendonitis||Left temporomandibular joint disorder||Lesion of skin of foot|
|Localized swelling of back||Localized swelling of chest wall||Localized swelling of forearm||Lump in left breast||Mild persistent allergic asthma|
|Mild persistent allergic asthma controlled||Mild persistent allergic asthma uncontrolled||Mild persistent asthma controlled||Mild persistent asthma controlled co-occurrent with allergic rhinitis||Mild persistent asthma co-occurrent with allergic rhinitis|
|Mild persistent asthma uncontrolled||Mild persistent asthma uncontrolled co-occurrent with allergic rhinitis||Moderate persistent allergic asthma||Moderate persistent allergic asthma controlled||Moderate persistent allergic asthma uncontrolled|
|Moderate persistent asthma controlled||Moderate persistent asthma co-occurrent with allergic rhinitis||Moderate persistent asthma uncontrolled||Moderate persistent asthma uncontrolled co-occurrent with allergic rhinitis||Moderate persistent controlled asthma co-occurrent with allergic rhinitis|
|Neurocognitive disorder||Nonallergic eczema||Obstructed labor due to abnormality of maternal pelvis||Obstructed labor due to disproportion between fetus and pelvis||Open wound of finger of left hand|
|Open wound of finger of right hand||Otitis externa of left ear||Otitis externa of right ear||Otitis media due to influenza||Otitis media due to scarlet fever|
|Otitis media of left ear||Otitis media of right ear||Pain in bilateral legs||Pain in both feet||Pain in left foot|
|Pain in left knee||Pain in left sacroiliac joint||Pain in left thumb||Pain in right foot||Pain in right hand|
|Pain in right heel||Pain in right hip joint||Pain in right knee||Pain in right sacroiliac joint||Pain in right thumb|
|Paronychia of thumb||Patient clinical record lost||Perforation of left tympanic membrane||Perforation of right tympanic membrane||Plantar fasciitis of left foot|
|Plantar fasciitis of right foot||Plantar reflex normal||Plantar wart of left foot||Plantar wart of right foot||Pressure ulcer of left leg|
|Pressure ulcer of skin of right ischial tuberosity region||Problem focused eye examination normal||Rash of groin||Recurrent acute otitis media of left ear||Recurrent acute otitis media of right ear|
|Recurrent acute suppurative otitis media with spontaneous rupture of ear drum||Regular bowel action||Retained foreign body||Retained glass fragment foreign body||Right achilles tendonitis|
|Right temporomendibular joint disorder||Rupture of anterior cruciate ligament of left knee||Rupture of anterior cruciate ligament of right knee||Sensorineural hearing loss in left ear||Sensorineural hearing loss in right ear|
|Sepsis of newborn due to group B Streptococcus||Serous otitis media of left ear||Serous otitis media of right ear||Severe persistent allergic asthma||Severe persistent allergic asthma controlled|
|Severe persistent allergic asthma uncontrolled||Severe persistent asthma controlled co-occurrent with allergic rhinitis||Severe persistent asthma co-occurrent with allergic rhinitis||Severe persistent asthma uncontrolled co-occurrent with allergic rhinitis||Sprain of left ankle|
|Sprain of left hip||Sprain of left knee||Sprain of left rotator cuff capsule||Sprain of left shoulder||Sprain of left wrist|
|Sprain of right ankle||Sprain of right hip||Sprain of right knee||Sprain of right rotator cuff capsule||Sprain of right wrist|
|Sprain of trapezoid ligament||Steroid dependent asthma||Strain of left pectoral muscle||Strain of left trapezius muscle||Strain of muscle of left forearm|
|Strain of muscle of left hip||Strain of muscle of left shoulder||Strain of muscle of left thigh||Strain of muscle of left upper arm||Strain of muscle of left wrist|
|Strain of muscle of right forearm||Strain of muscle of right hip||Strain of muscle of right shoulder||Strain of muscle of right thigh||Strain of muscle of right upper arm|
|Strain of muscle of right wrist||Strain of muscle of upper arm||Strain of pectoral muscle||Strain of right pectoral muscle||Strain of right trapezius muscle|
|Strain of shoulder muscle||Subcutaneous abscess of knee||Supraglottitis||Swelling of first metatarsal joint of hallux of both feet||Swelling of first metatarsal joint of hallux of left foot|
|Swelling of first metatarsal joint of hallux of right foot||Swelling of left lower limb||Swelling of left upper limb||Swelling of right lower limb||Swelling of right upper limb|
|Tendonitis of left patellar tendon||Tendonitis of left wrist||Tendonitis of right hip||Tendonitis of right patellar tendon||Tendonitis of right shoulder|
|Tendonitis of right wrist||Tendonitits of left shoulder||Tinnitus of left ear||Tinnitus of right ear||Trigger finger of left hand|
|Trigger finger of right hand||Ulcer of back||Ulcer of left ankle||Ulcer of left foot||Ulcer of left lower leg|
|Ulcer of left thigh||Ulcer of midfoot||Ulcer of right ankle||Ulcer of right foot||Ulcer of right lower leg|
|Ulcer of right thigh||Ulcer of skin of lower extremity||Unable to perform spirometry||Unable to void urine||Uncontrolled pain|
|Underweight in childhood||Unknown handedness||Upper respiratory tract allergy||Upper respiratory tract infection due to avian influenza||Upper respiratory tract infection due to H1N1 influenza|
|Upper respiratory tract infection due to Influenza||Upper respiratory tract infection due to Influenza A||Verbalizes understanding||Vitreous floaters of left eye||Vitreous floaters of right eye|
|Weakness of left arm||Weakness of left leg||Weakness of right arm||Weakness of right hand||Weakness of right leg|
|Weight gain diet||Worsening exercise tolerance|
Review Migration of Your Chart Note Diagnosis Defaults
PCC 7.2’s SNOMED-CT update includes changes to some diagnoses that you may have configured as defaults on your chart note protocols.
If a SNOMED-CT description has been retired or changed, the PCC 7.2 update will automatically update your chart note protocols with the newer version or an alternate code, so clinicians can continue to select common diagnoses on the chart note as they always have. Your practice may want to review these chart note customizations in the Protocol Configuration Tool.
For example, “Intrinsic asthma with asthma attack” was removed from the SNOMED-CT description library. If you had that description as a default on a chart note protocol, the PCC 7.2 update will replace it with “Acute Exacerbation of Intrinsic Asthma”. PCC 7.2 will automatically update your chart note protocols to display the new option on new visits, but it will preserve the history of the previous description on old chart notes.
The table below shows the updates that PCC 7.2 will perform. If your chart note protocols had a default diagnosis option listed on the left, it will be replaced with the new SNOMED-CT description found on the right.
|Removed SNOMED-CT Descriptions||Code||New SNOMED-CT Descriptions||Code|
|Acute swimmer’s ear||194201001||Acute otitis externa||30250000|
|Adverse drug event resulting from treatment of disorder||406644009||Adverse drug reaction resulting from treatment of disorder||708809007|
|Asthma with status asthmaticus||57546000||Acute severe exacerbation of asthma||708090002|
|Baby extremely premature 28-32 weeks||169851005||Baby premature 28-32 weeks||710235005|
|Baby very premature 32 to 36 weeks||169850006||Baby premature 32-36 weeks||710068006|
|Body mass index high K/M2||140077000||Body mass index high K/M2||162861002|
|Complex dental caries||5170009||Caries involving multiple surfaces of tooth||442231009|
|Concussion||81371004||Concussion injury of brain||110030002|
|Drug withdrawal syndrome in newborn||61628006||Drug withdrawal syndrome in neonate of dependent mother||609439002|
|Epstein-Barr virus infection||402121009||Epstein-Barr virus disease||240530001|
|Exacerbation of persistent asthma||427354000||Exacerbation of moderate persistent asthma||707446004|
|Extrinsic asthma with asthma attack||233681001||Acute exacerbation of allergic asthma||708093000|
|Extrinsic asthma with status asthmaticus||91340006||Acute severe exacerbation of allergic asthma||708095007|
|Fetal or neonatal effect of breech delivery and extraction||268808004||Fetal or neonatal effect of breech delivery and extraction||4787007|
|Fetal or neonatal effect of cesarean delivery||50968003||Fetal or neonatal effect of cesarean section||206123007|
|H/O: penicillin allergy||161591004||Allergy to penicillin||91936005|
|Intrinsic asthma with asthma attack||233685005||Acute exacerbation of intrinsic asthma||708094006|
|Intrinsic asthma with status asthmaticus||59327009||Acute severe exacerbation of intrinsic asthma||708096008|
|Migraine with prolonged aura||230463007||Migraine with aura||4473006|
|Temporomandibular joint click||196432004||Temporomandibular joint crepitus||298377005|
Historical Entries are Preserved: Even if a SNOMED-CT description was retired, PCC EHR will continue to display the previously charted diagnosis in the patient’s chart note in the Visit History.